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MOV-02-2011 01:26 PM STANDARD WATER GONTRDL 763 537 1882 �Ul' ��111� �����`r Fermit No. �nsp�ctions 1�+ SIi�EN'`i'IAL APpLICA'�'IUN �t��e��� � ��3��'72-3604 CITY OF F�tIDL�Y ��� 763��02-4977 F.A,X ......__.�_ . . .. �ar� �,- /[l.�/r r sr� .a►t�bxFSS ` �s a�►�c,xcnNr is: r�y PAO��RTY dW1VER! �n� `�'ENAIVT � AADRES SLJi��TT A �pF'Y' OF ���.� LICENSE XOiJII �TAT'� LIC,�NSE arrn ��rc,�,� o;� ��ss:� an�ss 0 S�1'GLT FAI�LYYATEqt CONSTitt7CTION 0 TWO Bp�.Y/1�Vy COkiSTRUC7TON O BASF�NT' FINI3H C] ROQF d DECK ❑ SIDING - O SWI�,f3+[O POOi O�' WURi�: � NE'pV HOME CONS'r1tUCTION 0 AAATIION _ Q �tn��rArtc�m�aut o �aon�r.n�� DESCYII�� WORK Bi�IIdCi DONE: Q.�.. SIT,k, QVEA�I�"I' (�T�T VJID]'!i a xo�rs� oxi.�r �OF SQUARBS � C] Ho[ySE � GARA(�E CI ATTACY�t} GARAGE P'It � ST7.�; O AETACT�} (}ARACrE PRO�'OS�1b 1�OFi7'� a� Q'V�ny1 Q Ntun{�inm� I� Otlkr,,. - � IN EXI8TII+10 QFEN£PTGS I�Yes ONp pit Fp� 1►iEW' OF'BNiNQS-DFSCRIBE STZE OF O�N�1Q C1�ANOES dt �"S'�8�4 ,.__W�OP/ TO B� �iSTAY.T.SU ALL �'��S AR� �ASED ON'V �l�n �` View Fis�e Stti'�hsrge Surch�t°�e Licen� Surcharge SAC �harge Curb �t �ac�row Erosion Con�ol Paxk �'�Is Sewer lVCain Chargo C7$4f�lt G Trim ❑ Fascia LOCATIONOF Vt+zNDOWS c�r FAx ALUATIOI�T, INGLUriYNG �'i� COS'I' O� Us,�c � x� u.�.c a��� sc�aa�aa�� DRtATN 1�L� U'!'F1ER P.OT � ,lJ 1f � ;; "; j��� �, STA77E. , ZIp�� ��xrn. D t. �dsdng�toorPlen 2. PropoBed floor plAn 3. List ot�trucnual memhcc�g to be ,�ed �'OR NEW C(7N3TRUCYT4N INCLUDINCr DECJ�S, N 1, Site PFau/Stlrvey showing thc c�st4�g a�uct�s aad proposnd pmjGCt, 2, ?wo sots of cormuucqon pian� 3. Eaergy Calculrtions FOii Vi�lNDO'lV'S — PROVIDE U-VALiPE A�iD MANCfFACTURE S71CK�R OlV WINpp'pV. TERiA,L$; ee ac Pag� far �oe Sciicdule _ _-_� � �� 63% af �uildiytg �eirnit �ee $ �-1v A01 times the total job valuation �� r� .0005 x l'armit V'aluation Minimum $5.00 � _ .� �5.00 {Smte Licenseal Residential Contractors) � "�2230 pec SAC iJnit (Plans ta MWCC �or determinatiorl} � _,,, ft + 6 4� � ft x S2S= � $ � $450 CbnSelrv�Cion Platl i{e'view � ,_ Foe De#ermined by Enginceris�g $ , � , , Agr��ment necxssary ( ) I�Ton Neceessry ( ) Tf�S IS AI�1 APPiTCATiON Fdit A FERrifFT-NOT VAC.Iri UNTIL pItOC�gSED T hereby apply for a building per�uit and Y aelmowledge that the i�forn��tion above is campleta and aeeurste; t�hat the worlc wiq he in confo�riance with the ardinsnces and cadcs of the City of �'ridley and with tha Minnesota Cor,stzuction Codes; that I understsr�d this is not a parnu� $ut anly sn application r a permi is aot roo start with�u# s permit oa six; that thc wark will bc in accordance �,�,;t�, the approw�ri plan in the oase f ' re�view ax�d a�sprov�l of / r SIdNA1'llRE OF A�T.ICAN7' PRJNT' NAME f� DATF. /�� �PRO�!'i�,I. nvSPECTQTt 51CiNA NdV-@2-2011 01:26 PM STANDARD WATER CONTRdL 763 537 1882 STANDAR� 'WAT�R C�'JNTROL SYST�MS� �N� �,�J �.a�arfa �verw. l�ln�h � swAn�n �d� �►� ww�►.s�w�r , c�, tiqd �saPe cn�e� � c�a2s �ex (�sy r�-t � r�veMO�� a,: �x. auw�svn,.E sr. c�c aul�r►+ poaar.�r�a aursr�,e bra (7!!) �7�lIY (l�1177l�9t �} /Y441GI � �G7t� (41!) 7�•t�pll �071 �MFii/Y t�Dbi �le�7�i7 ZD1 � Y�I�f�QIk10 8Y�f111b � �' �WdOY # �QLLf�_ �Ob � * d� � NmK Addrwt � Mamt PI10n! 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